You are on page 1of 18

Objective

We learn about the assisment that use in


occupational therapy

We learn about how to use the assisment

We can know about the function of the


assisment
There are seven piece of hand
evaluation set
1.Hydraulic hand dynamometer
2.Mechanical pinch gauge
3.Finger goniometer
4.3-point aesthesiometer
5.Finger circumference gauge
6.Pinwheel
7.Functional finger motion gauge
DYNAMOMETER

Can be used to measure grip strengh


It is calibrated in kilograms and pound of force

How to use it
1) Set the handle to desire position
2) Have subject hold the dynamometer in a comfortable position
3) The shoulder should be adducted and naturally rotated
4) The elbow flexed to 90 degrees
5) The forearm and wrist should be in natural position
6) Have the subject squeeze the handle using his/her maximum effort
7) The red maximum pointer must be reset before each grip test
8) Rotate the small knurled knob on top of the dial indicator in a
counterclockwise direction until it rests againts the black pointer at
the zero marking

Use the following protocol to determine whether a subject is exerting


maximum effort
 Take readings with adjustable handle in all five position
 Test the normal hand and then the injured hand
 Repeat the test after five minutes
PINCH GAUGE

It used to measured pinch strengh


It can calculated in pounds and kilogram of force

How to use it

1) Apply pinch force at the pinch groove while holding the pinch gauge
between your thumb and finger
2) When the forces applied further the rear the reading will be slightly
lower
3) The gauge must be zeroed before each pinch test
4) Grasp the knurled ring of the dial indicator and rotate it until the
zero on the dial indicator is directly under the black pointer

Use the pinch gauge to perform the three basic pinch tests

 Tip pinch-thumb tip to index fingertip


 Key pinch-thmb padto lateral aspect of middle phalanx of index
finger
 Palmer pinch-thumb pad to pads of the index and middle fingers.
FINGER CIRCUMFERENCE GAUGE

It used to measure finger diameter and swelling associated with


edema
It callbrated in inches and centimeter

How to used it???

1) Wrap the webbing around the finger to be evaluated


2) Thread the webbing through the eyelet on the ruler
3) Pull the webbing tough and read the finger circumference
measurement directly from the ruler.
3-POINT AESTHESIOMETER

It is sensory device that measures a subject perception of the


cutaneous two point threshold
The device is very lightweight so as not to influence the touch and
pain threshold

How to used it

1) Sets the two points close together


2) Ask the clien whether he/she feels one or two point.
3) During the trial,as a check one point only should be used to touch
the skin on some trials
4) Different areas of the skin have markedly different two point
threshold
5) It is interesting to note that there is an increase in two point
cutaneous sensitivity brought about by practise and a transfer effect
from one symmetrical skin area to another after practise on the first
area
DYNAMOMETE
R
AESTHESIOMETER
GONIOMETER
FUNCTIONAL FINGER
MOTION GAUGE
FINGER
CIRCUMFERENCE
GAUGE
PINCH GAUGE
PINWHEEL
Finger Goniometer
Can be use to measure active or passive joint range of motion
(ROM).
It measure joint flexion and hyperextension.
Calibrated in degrees.

How to use it
1) Place the flat arm of goniometer that is attached to the dial indicator
2) Hold both arms of the goniometer and move the joint
3) The range of motion can be read directly from the dial indicator
Pinwheel
Use to elicit a subject’s cutaneous sensory and/or perception
The test elicits a gross yes/no (on/off) response
No specific calibration unit

How to use it
1) Move the pinwheel over the skin area to be tested
2) Ask the the subject whether feels one or two points
3) If subject responds negatively the test may be repeated using more
pressure on the pinwheel
Functional finger motion gauge
Measures composite finger flexion and thumb-funger opposition
It is calibrated in cm

How to use it

Composite finger flexion :

1) Place the flat end of the of the plastic gauge on the subject’s palmer
crease and have the subject flex fingers
2) Read the composite flexion of each finger directly from the gauge

Thumb and finger opposition :

1) Have the subject grasp the smallest step possible between the
thumb and finger
2) Repeat for each finger (index, middle, ring, and little)
DISEDIAKAN OLEH